Debauche, Spencer Terence
Debauche, Spencer Terence is an sole proprietor health care provider with primary practice located at 801 W Maple St , Farmington NM 87401-5630. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Debauche, Spencer Terence can be contacted via phone (505) 609-2000.Contact Information
Primary practice address
801 W Maple St
Farmington NM 87401-5630
Phone: (505) 609-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | DO2022-0036 | New Mexico |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1780143818 |
|---|---|
| LBN Legal business name | Debauche, Spencer Terence |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 18th, 2019 |
| Last updated | Nov 14th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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